In not less than 200 words:
Analyze the subjective portion of the note. List additional information that should be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or why not?
What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.
This should be a paper with subheadings, please use subheadings below. This makes your papers a lot easier to read and ensures you are answering all the questions on the Rubric. Be sure to answer all information to receive maximum points.
Subjective Portion
Objective Portion
Assessment Supported
Diagnostic Tests
Rejection or Acceptance
Possible Conditions
This should be written as a narrative/paragraphs only!
DO NOT rewrite a SOAP note.
Tell me whats wrong with the Episodic SOAP Note, by responding to the statements/questions above.